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General NPI Number Information
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NPI Number | 1912337593
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Entity Type | Organization
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Legal Business Name | CHIA-HUNG YUAN DDS P.C.
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 136-20 38TH AVE., SUITE 5C
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-661-1189
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Fax |
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Provider Business Mailing Address
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Address Line | 136-20 38TH AVE., SUITE 5C
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-661-1189
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. CHIA-HUNG YUAN
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Credential | D.D.S
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Telephone | 646-522-7483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 050843
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License Number State | NY
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